Shane Schulthies, PT

NPI #1750767588 in Rexburg, Idaho

Provider Information

NPI Number: 1750767588
Entity Type: Individual
Name: Shane Schulthies, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Aug 4, 2015
Last Updated: Aug 5, 2015

Practice Location

Address: 36 WINN DR STE 100
City: Rexburg
State: Idaho
ZIP Code: 83440-5277
Phone: (208) 356-0174

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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